Skip to comments.I'm waiting months to see a specialist. What can I do?
Posted on 01/10/2014 8:28:06 AM PST by justlittleoleme
The Question: I've had pain in my right knee for more than a year. After waiting five months, I had an MRI which showed two ligament tears. The specialist cannot see me for months. I have to work and care for my two children under age 10. The anti-inflammatory pills do not help, and my leg is so swollen I can hardly walk. What is my right to be treated?
The Answer: It's frustrating: You've paid into medicare for years and it's not available when you need it. Rationing and waits are endemic to our public health-care system, but that's cold comfort for you now. Across Canada, it can take months just to see an orthopaedic surgeon and more months before the operation. Hip and knee replacements have shorter waits because they have a higher priority with governments.
(Excerpt) Read more at theglobeandmail.com ...
He may have had a pain in his knee for a year, but America has had a pain in her butt for five now.
Step 1: Fly to Mexico.
Step 2: Obtain fake Mexican passport and grow a moustache.
Setp 3: Sneak into the US and go to an emergency room.
“Are you one of Holder’s people?”
Here is a study on wait times that was done as well....
“Data from our EMR-based researchable database indicate that the median wait to see a specialist in southwestern Ontario is 53 days, with longer waits for neurosurgery and orthopaedic surgery visits, and shorter waits for paediatrician visits. There are significant variations between specialties and by practice, and further research is needed to understand the specific reasons for these. Future work should model the patient-, physician- and contextual-level factors that determine specialist wait times.”
Single-payer is great if you break your arm or have a ruptured appendix but if you need some form of specialized care or elective surgery, you're in trouble. And if you're over 65, forget it.
Get into your onesies and grab a hot cup of cocoa!
Simpler get a paste on mustache from costume shop, some dark makeup, go to ER cheaper. than going to mexico, they don’t ask for your papers at the ER. Be prepared to wait at least 8-10 hrs to be seen. LOL
We have only 1 public hospital, rest private, they tell them to go to the MED.
I just got an email from my mother about regular Medicare.
Her words: Apparently, seniors are labeled “under observation” in rehab after a hospital visit. Then the bill is not paid by Uncle Sam. Seniors must be labeled “inpatient”.
She’s one of the five remaining peeps who get their info from Brian Williams. Has anyone heard anything like this? Is it another hidden gem in O’care?
Canadians have had to go south to USA for medical care for years, since they got their socialized scheme. Now where will Americans go for medical care once Obamacare takes firm control? South, south to Cuba!?
Are you a fan of universal healthcare...if so be brave and forgo care to help your fellow citizens, remember sacrifice is holy. If you were not in favor of Universal healthcare you’re screwed....you are the victim of your fellow citizens (morons) who wrought this plague upon you.......my heart goes out to you!!!
um no... not a fan.... its already getting bad with wait times to see specialist and it has only just begun....
From a policy perspective, the good news is that waiting time in our sample is not associated with SES. Instead, patient age, sex and severity which can be considered proxies for need are associated with wait times, providing evidence that there is equity in waiting times in our sample.
The good news is that even though wait times are abysmal, there is EQUALITY! Everybody gets the same poor results.
The good news is we have a policy to discriminate based on age and gender.
In America, they will soon have proxies for “voting pattern” to determine who gets care or not.
For a more realistic view f Canadian healthcare including life expectancies, etc.
It's believed there are more MRI machines in our Coachella Valley than in all of Canada.
For those of you who, like me, are slow SES stands for socioeconomic status. (Had to look it up on Wikipedia).
Fear not, if your over 75 Obamacare wants you gone.
Yes, it is a rule just started Oct 1, and hospitals are now having to deal with this. Basically, there is guidelines established by a company called Milliman. The hospital reviews the patient’s signs and symptoms with Milliman guidelines, and the patient gets categorized as observation or inpatient. If you are in the hospital less than 2 midnights, you can also be categorized as observation. Observation status means more out of pocket expense for the patient. Medicare pays less, and you do not qualify for nursing home or rehab placement. This is one of the subtle ways funding for Medicare has decreased. If you hospital participates in Medicare- as they all do- then they have to apply the same rules to private pay health insurance. Thats right- the private BCBS policy follows Medicare rules. Any law pertaining to Medicare also applies to everyone else.
I really appreciate you taking the time to explain this. My poor mother is now planning a future heist of her body from the hospital.
If you are white.
I’m on Medicare and sent this article to all of my kids last summer when I first heard about it.
Thanks. I forwarded the link to her. I hate that they have never spent a dime on themselves because they think we will be allowed to inherit it. I know she is thinking she’d rather suffer than “take” the money from the grandkids.
“I hate that they have never spent a dime on themselves —”
They will do what they want to do-—if they are anything like me.:-)
You people are so stubborn! Take a vacation, buy a dishwasher. What do you think I work for?
-Your daughter (I become you more every year:)
Welcome to Death Panels
Welcome to socialist rationing aka universal health care.
It was a sneaky way to insert Medicare cuts without people really understanding why.The new rules are complicated. The thing that really astounds me, is that every insurance has to follow the same rules because Medicare made a rule that if a hospital accepts Medicare, they have to apply the same rule to everyone. People who are on private BCBS, Aetna, etc. are also under this rule. My advice- if you get admitted to a hospital, ask them what your status is. if you cannot get an answer- demand ( or close friend or relative) that you talk to a utilization review nurse with either your hospital or insurance company. I think the reason why it is coming out now is it takes about 3 months for Medicare to process a claim, and people are now geting sticker shock at the higher prices they are paying. The new rule came into effect Oct 1. I work UR, so that is why I responded to your post.
I’m glad they passed ACA to prevent the tragedy of medical bankruptcies. Do you know if this was a provision of ACA? No one I know knows this about denial of coverage due to status. This is going to be a huge issue. People of all ages are admitted for “evaluation” after they walk in claiming chest pains.
We always categorized patients as inpatient or observation, but on Oct 1 they really tightened up the rules.Now, in a lot of cases- you have to be in the hospital for 2 midnights before you can be considered inpatient. it was a Medicare rule, but I suspect the ACA has something to do with it. When you have more patients under observation, they have to pay more and possibly default on their bills. The hospitals will have a harder time getting paid because the patients don’t have money. This is going to be a huge issue as more and more people find out about this. Chest pain without evidence of a MI is observation.
What a mess. From the hospital’s point of view, you don’t want to throw them on inpatient status because of readmits. But you know you could be bankrupting your facility if you keep them on observe. A hospital job used to be the safest bet there was, but I can imagine the pressure inside of them to do more with less now. Everywhere in healthcare is the same right now. Best wishes for your sanity.
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